Lantus - malangizo ogwiritsira ntchito ndi ma fanizo

Ndi mtundu woyamba wa matenda a shuga, mitundu ina ya insulini imayenera kulandiridwa tsiku lililonse kuti athe kulipira mphamvu ya kuperewera kwa mahomoni a pancreatic.

Nthawi zambiri odwala matenda ashuga samapanga jekeseni tsiku lonse, zimachepetsa kukhumudwa.

Kampani yopanga zamankhwala ku Germany Sanofi imapereka ma syringes osavuta a shuga ndi njira ya Lantus. Malangizo ogwiritsira ntchito ali ndi chidziwitso chofunikira chokhudzana ndi mankhwalawa nthawi yayitali.

Kupanga ndi mawonekedwe a kumasulidwa

Glulin insulin ndi gawo limodzi la yankho. Wothandizila hypoglycemic yozikidwa pa insulin glargine amalembera mtundu wodwala wa shuga.

Ma cartridge am'mawa owoneka bwino ali ndi 3 ml ya yankho malinga ndi insulin glargine.

Chotengera chija chimatsekedwa ndi wopanga, chotseka chodalirika, cholumikizidwa ndi chipewa chopangidwa ndi aluminiyamu.

Cholembera chilichonse cha SoloStar chomwe chingatayike chili ndi 1 cartridge. Wopangayo amapereka ma CD No.

Mu 1 ml ya antidiabetesic wothandizira muli ma PISCES a 100 a insulin analogue. Chosakaniza chophatikiza ndi hypoglycemic effect chimapezeka ndi kukonzedwa kwina kwa DNA ya mabakiteriya osapatsirana Escherichia coli.

Zizindikiro zogwiritsidwa ntchito

Ndi mtundu 1 endocrine matenda, mankhwala Lantus akusonyezedwa ana:

1. Yafika zaka 6.
2. Akuluakulu.

Insulin glargine imawonetsa nthawi yayitali yotsutsana ndi maziko a kuyamwa pang'onopang'ono komanso kwa nthawi yayitali.

Mosiyana ndi isulin insulin, gawo lalikulu la mankhwalawa Lantus SoloStar silimapweteketsa kuchuluka kwa kuchuluka kwa mahomoni osungira.

Yaitali achire zotsatira limodzi ndi limodzi makonzedwe a zikuchitika tsiku lonse amachepetsa chiopsezo cha hypoglycemia. Njira yothetsera insulin glargine imakhala ndi malire ochepa, ngati akuwonetsedwa, amaloledwa kuti azigwiritsa ntchito amayi apakati.

Mlingo ndi bongo

Ndi mtundu wodwala matenda a shuga a insulin, ndikofunikira kutsatira malangizo, osadumpha mlingo wotsatira wa mahomoni. Kugwiritsa ntchito kwambiri insulin sikuthandizanso.

Zotsatira za bongo:

• kuchepa kwambiri kwa shuga m'magazi;
• pafupipafupi milandu ya bongo yambiri imatha kuyambitsa vuto la hypoglycemic.

Kuti athetse zovuta zoyipa ndi kuchepa kwapang'onopang'ono kwa kuchuluka kwa shuga, kuchuluka kwa tsiku ndi tsiku kwa Lantus kumasinthidwa, mulingo wakuchita zolimbitsa thupi ndi menyu zimasinthidwa.

Ndi mawonekedwe a kukomoka, kusokonezeka kwa mitsempha, kuchepa kwa kukakamiza, kuzizira, chizungulire - muyenera kuyitanitsa gulu la madokotala kuti muchepetse vutoli.

Malamulo Akugwiritsa:

• Lantus jakisoni njira yayitali: palibe chifukwa chobwereza makonzedwe a insulin glargine. Kusunga mulingo wokwanira wa mahomoni m'thupi, kupewa kutumphuka m'magazi a shuga, ndikokwanira jakisoni kamodzi patsiku. Mlingo woyenera kwambiri amasankhidwa ndi endocrinologist aliyense payekhapayekha.
• Chofunikira ndikuyambitsa yankho la insulin glargine panthawi yake. Nthawi pakati pa jakisoni ndi maola 24. Ndikosayenera kulandira mahormoni posachedwa kuposa nthawi yosankhidwa: kuchuluka kwa insulin tsiku limodzi kumasokonekera.
• Njira yothetsera vutoli ndi yoyenera kugwiritsa ntchito, sikofunikira kuti muchepetse madzi musanabaye.
• Osasakaniza wothandizira wa hypoglycemic ndi kukonzekera kwina kwa insulin.
• Masabata oyambilira mutangoyamba chithandizo, muyenera kuyeza shuga m'magazi kangapo patsiku. Kuti mupeze njirayi, mufunika chida chamakono kapena chida chamakono (cha kafukufuku, simukufuna mpanda wa biomaterial). Mita yolowerera m'magazi popanda kudulira chala imachepetsa chiopsezo cha matenda, ndikupangitsa kuti ikhale yofulumira, mwachangu komanso mopweteka.
• Mankhwala Lantus chikuyendetsedwera m'deralo ndi mafuta subcutaneous mafuta: m'mimba, m'chiuno, mapewa. Nthawi iliyonse, gawo la jekeseni limasinthidwa. Kuwongolera kwamitsempha koletsedwa: chiwopsezo cha hypoglycemia chimawonjezeka kwambiri.
• Malangizo a tsiku ndi tsiku a mahomoni kapena dose regimen amachitika panthawi ya kusintha kwina kuchokera ku mankhwala ena okhudzana ndi shuga kupita ku mankhwala a Lantus.

Pambuyo pa njirayi, cholembera cha syringe sichingagwiritsidwenso ntchito kapena kusamutsidwira kwina, ngati sichoncho insulini yonse. Pamaso pa njirayi, muyenera kuwunika mtundu wa yankho: lamadzi liyenera kukhala lowonekera komanso lopanda utoto, wopanda zodetsa zolimba, amafanana ndi madzi.

Zotsatira zoyipa

Ndi kuyambitsa kwa insulin glargine nthawi zina, zovuta zoyipa ndi zam'deralo zimatha. Pafupipafupi mawonekedwe owonekera amasiyanasiyana kutengera kutengera kwaumwini.

Nthawi zambiri amakhala:

• hypoglycemia;
• lipodystrophy;
• thupi lawo siligwirizana mu jakisoni gawo.

Mitundu ina yam zotsatira zoyipa sizipezeka kawirikawiri:

• kusintha kwa kukoma;
• kupweteka kwa minofu
• Edema ya Quincke;
• kutayika kwamaso;
• lipoatrophy;
• Kutupa kwa minofu motsutsana ndi maziko a kuchepa kwa sodium ayoni.

Pankhani ya matenda a shuga omwe amadalira insulin, omwe amalandira jakisoni wa Lantus ayenera kudziwa momwe ngozi za kukomoka kwa hypoglycemic zimachulukira. Wothandizira endocrinologist ayenera kuchenjeza odwala matenda ashuga za kusintha kwa zizindikiro, kuwonetsa kuchepa kwakukulu kwa shuga ndi majakisoni a insulin glargine.

Zizindikiro zoyipa zomwe zimatsagana ndi chitukuko cha hypoglycemia zimakhala zochepa mwa odwala pazochitika zotsatirazi:

• kukula kwa neuropathy;
• kulandira mankhwala a magulu osiyanasiyana;
• ukalamba;
• kukula kwapang'onopang'ono kwa hypoglycemia;
• kukhazikika kwakukulu kwa Zizindikiro zamagazi;
• matenda amisala;
• matenda a shuga adapezeka zaka zoposa khumi zapitazo;
• Njira yochizira imaphatikizapo kusintha kwa insulin ya anthu.

Contraindication

Lantus yothetsera matenda a insulin ndende sanalembedwe:

• ndi tsankho la munthu payekha kwa mahomoni kapena ma excipients;
• ana ochepera zaka zisanu ndi chimodzi.

Mtengo

Mankhwala apamwamba kwambiri achijeremani Lantus ochokera ku Sanofi potengera insulin glargine ndi amtundu wamtengo wokwera.

Ma paketi nambala 5 amatenga ndalama kuchokera ku 2900 mpaka 4000 rubles.

Mtengo wa mayendedwe:

• mankhwala a nthawi yayitali Tujeo SoloStar 300 UNITS - 3100 rubles;
• Levemir Flexpen jakisoni wa jekeseni - kuchokera 2000 mpaka 3000 rubles.

Zosungirako ndi moyo wa alumali

SoloStar syringe zolembera ziyenera kuyikidwa pa khomo la firiji. Makulidwe otentha oyenera amachokera ku + 2 mpaka + 8 madigiri. Sizoletsedwa kuti tiumitse yankho potsatira insulin glargine: mankhwala Lantus amataya machiritso ake.

Sungani zomwe zakonzedwazo m'bokosi la katoni kuti muteteze kuyatsa. Alumali moyo wa syringe zolembera pomwe akusungidwa osindikizidwa ndi miyezi 36.

Analogi

Insulin yemwe wakhalapo kwa nthawi yayitali ali ndi mankhwala otsatirawa:

1. Tujeo SoloStar. Njira yothetsera jakisoni imaperekedwa kwa odwala akuluakulu.
2. Aylar. Kugwiritsidwa ntchito ndi mankhwala a insulin mwa akulu ndi ana a zaka 2.
3. Levemire FlexPen. Mankhwala omwe amapezeka m'matumbo a Detemir ndi othandizira odwala matenda amtundu wa 1. Njira yothetsera vutoli imaloledwa kuyambira azaka ziwiri komanso mankhwala a insulin.

Ndemanga

Za mankhwala Lantus SoloStar pali malingaliro ambiri abwino a odwala omwe amakakamizidwa kulandira insulin tsiku lililonse ngati jakisoni. Pazomwe mumagwiritsa ntchito, mumafunikira cholembera chovomerezeka ndi mankhwala a nthawi yayitali. Ndikofunikira kuonetsetsa kuti insulini ingasunthike bwino kuti ikhale yokwanira (popanda kudumpha mwadzidzidzi) kuchuluka kwa mahomoni komanso kuyamwa kwa nthawi yayitali kwa chinthucho.

Mankhwala Lantus amakwaniritsa izi. Kuchita bwino kwa mankhwalawa, kutalika kwambiri kwa insulin kumatsimikiziridwa ndi kuwunika kwa odwala ndi madokotala. Ubwino wofunikira ndikutheka kugwiritsa ntchito insulin glargine mwa ana opitilira zaka 6 ndi amayi apakati (mosamala).

Wothandizira antidiabetesic Lantus amawonetsa mphamvu yayitali, amasunga shuga m'magazi pamlingo woyenera usana, usiku ndi m'mawa. Mankhwala ali ndi zoletsa zochepa, kutsatira malangizo, kusankha kwa mulingo woyenera wa hypoglycemia kumachitika kangapo. Ndikofunika kuyang'anitsitsa shuga wamagazi anu tsiku ndi tsiku kuti mupewe mfundo zotsika kwambiri.